Reproductive Planning and the Choice of Long-acting Reversible Contraceptive Primary to Health: A Cross-Sectional Study.

OBJECTIVE: Evaluate the different perspectives that involve the choice of long-acting reversible contraceptives (LARCs), the issues related to this process and the consequences of deciding one method in the women's in the primary health care (PHC) center in Sousas, a district in Campinas, SP (Brazil). METHODS: This is an analytical cross-sectional study, it was performed at the PHC in Sousas. Data were collected through the analysis of medical records and interviews with women who live in Sousas and had the insertion of the copper intrauterine device (IUD) (D) from April 2021 to April 2022 or the etonogestrel implant (I) from May to December 2022. The study was approved by the Research Ethics Committee of the Medical Science School at the State University of Campinas (UNICAMP). RESULTS: Reason for choosing this LARC: medical (D: 52%; I: 100%), easy adhesion (D: 71%; I: 67%), effectiveness (D: 55%; I: 100%). Indication by health professionals (D: 65%; I: 100%). And improvement of clinical characteristics: mood (D: 77%; I: 67%), body mass index (BMI; D: 52%; I: 33%), and libido (D: 84%; I: 67%). CONCLUSION: It is suggested that women tend to decide between LARCs when guided by their doctor or PHC health professionals, and they select LARCs because of the ease of use and low failure rates. Therefore, this study highlights how LARCs can positively interfere in the aspects that pervade contraception, such as BMI, libido, and mood.

OBJETIVO: Avaliar as diversas perspectivas que envolvem a escolha dos LARCs, as problemáticas relacionadas a esse processo e as consequências da escolha do método na vida das mulheres no centro de Atenção Primária à Saúde (APS) em Sousas, distrito de Campinas, SP. MéTODOS: Trata-se de um estudo transversal analítico, realizado no Centro de Saúde de Sousas. Os dados foram coletados através da análise de prontuários e de entrevistas das mulheres residentes em Sousas, que inseriram o dispositivo intrauterino (DIU) de cobre (D) entre abril de 2021 a abril de 2022 ou o implante de etonogestrel (I) de maio a dezembro de 2022. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Ciência Médicas da Universidade Estadual de Campinas (UNICAMP). RESULTADOS: O motivo da escolha: por indicação médica (D: 52%; I: 100%), pela facilidade (D: 71%; I: 67%) e pela eficácia (D: 55%; I: 100%). Da indicação por profissionais de saúde (D: 65%; I: 100%). E melhora das características clínicas: humor (D: 77%; I: 67%), índice de massa corporal (IMC; D: 52%; I: 33%) e libido (D: 84%; I: 67%). CONCLUSãO: Sugere-se que as mulheres tendem a escolher LARCs quando orientadas pelo seu médico ou por profissionais de saúde da APS e optam pelos LARCs pela facilidade do uso e baixa taxa de falhas. Destaca-se como os LARC's podem interferir positivamente em aspectos que perpassam a contracepção, como o IMC, libido e estado de humor.

High Concordance between D:A:Dr and the Framingham Risk Score in Brazilians Living with HIV.

People living with HIV (PLHIV) have twice the risk of developing cardiovascular diseases, making it essential to identify high cardiovascular risk (CVR). However, there is no validated CVR calculator for PLHIV in Brazil. We performed a cross-sectional study with 265 individuals living with HIV, aged 40 to 74 years, to assess the agreement between three CVR scores: Framingham Risk Score (FRS), Atherosclerotic Cardiovascular Disease (ASCVD) Risk Score, and a specific for PLHIV, Reduced Data Collection on Adverse Effects of Anti-HIV Drugs (D:A:Dr). We assessed agreement using the weighted Kappa coefficient and the Bland-Altman plot. The median age was 52 years (47-58), 58.9% were men, 34% were hypertensive and 8.3% had a detectable viral load. There was an almost perfect agreement between D:A:Dr x FRS (k = 0.82; 95% CI 0.77-0.87; p < 0.001), and substantial agreement between FRS vs. ASCVD (k = 0.74; 95% CI 0.69-0.79; p < 0.001) and between D:A:Dr vs. ASCVD (k = 0.70; 95% CI 0.64-0.76; p < 0.001). The Bland-Altman plot revealed greater discordance between scores as the CVR increased. Our results suggest that the FRS and the D:A:Dr are adequate to classify the CVR in this population, and the D:A:Dr score can be used as an alternative to the FRS in Brazil, as other international guidelines have already advocated.

Questões da saúde digital para o SUS: a "saúde móvel" e a automação algorítmica do saber-poder da medicina / Digital health issues for the SUS: "mobile health" and the algorithmic automation of medical knowledge-power

Resumo A pandemia de covid-19 acelerou a chamada transformação digital da saúde. Uma de suas faces pode ser vista no uso progressivo de aplicativos móveis dedicados à prevenção de doenças e à promoção à saúde (mSaúde). Todavia, ainda há muitas lacunas de conhecimento e problematizações sobre saúde digital para subsidiar seu uso e implementação no âmbito da saúde coletiva. Este ensaio pretende se somar às caracterizações e análises das consequências assistenciais, sociais, políticas, legais e éticas da saúde digital. A hipótese a ser defendida é que a transformação digital da saúde acarreta a automação algorítmica do saber-poder da medicina. Para desenvolver este ensaio, foram realizadas extensa revisão bibliográfica, investigação e descrição de aplicativos de mSaúde, a partir de estudos críticos sobre saúde digital propostos por Deborah Lupton.

Abstract The current pandemic has accelerated digital health transformation. One of its faces refers to the progressive use of mobile applications dedicated to care, disease prevention, and health promotion - e.g., mHealth. However, many gaps in the knowledge and questions about digital health to support its use and implementation persist in the scope of Public Health. With that in mind, this study aims to contribute to their assistance, social, political, legal, and ethical characterizations and analyses. The hypothesis we intend to test is that the digital transformation of health care leads, for better or for worse, to the algorithmic automation of the knowledge-power of medicine. To conduct this study, we carried out an extensive literature review and investigated and described mHealth apps based on the critical studies of digital health proposed by Deborah Lupton.

Reproductive Planning and the Choice of Long-acting Reversible Contraceptive Primary to Health: A Cross-Sectional Study / Planejamento reprodutivo e a escolha do contraceptivo de longa permanência na atenção primária à saúde: um estudo transversal

Abstract Objective Evaluate the different perspectives that involve the choice of long-acting reversible contraceptives (LARCs), the issues related to this process and the consequences of deciding one method in the women's in the primary health care (PHC) center in Sousas, a district in Campinas, SP (Brazil). Methods This is an analytical cross-sectional study, it was performed at the PHC in Sousas. Data were collected through the analysis of medical records and interviews with women who live in Sousas and had the insertion of the copper intrauterine device (IUD) (D) from April 2021 to April 2022 or the etonogestrel implant (I) from May to December 2022. The study was approved by the Research Ethics Committee of the Medical Science School at the State University of Campinas (UNICAMP). Results Reason for choosing this LARC: medical (D: 52%; I: 100%), easy adhesion (D: 71%; I: 67%), effectiveness (D: 55%; I: 100%). Indication by health professionals (D: 65%; I: 100%). And improvement of clinical characteristics: mood (D: 77%; I: 67%), body mass index (BMI; D: 52%; I: 33%), and libido (D: 84%; I: 67%). Conclusion It is suggested that women tend to decide between LARCs when guided by their doctor or PHC health professionals, and they select LARCs because of the ease of use and low failure rates. Therefore, this study highlights how LARCs can positively interfere in the aspects that pervade contraception, such as BMI, libido, and mood.

Resumo Objetivo Avaliar as diversas perspectivas que envolvem a escolha dos LARCs, as problemáticas relacionadas a esse processo e as consequências da escolha do método na vida das mulheres no centro de Atenção Primária à Saúde (APS) em Sousas, distrito de Campinas, SP. Métodos Trata-se de um estudo transversal analítico, realizado no Centro de Saúde de Sousas. Os dados foram coletados através da análise de prontuários e de entrevistas das mulheres residentes em Sousas, que inseriram o dispositivo intrauterino (DIU) de cobre (D) entre abril de 2021 a abril de 2022 ou o implante de etonogestrel (I) de maio a dezembro de 2022. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Ciência Médicas da Universidade Estadual de Campinas (UNICAMP). Resultados O motivo da escolha: por indicação médica (D: 52%; I: 100%), pela facilidade (D: 71%; I: 67%) e pela eficácia (D: 55%; I: 100%). Da indicação por profissionais de saúde (D: 65%; I: 100%). E melhora das características clínicas: humor (D: 77%; I: 67%), índice de massa corporal (IMC; D: 52%; I: 33%) e libido (D: 84%; I: 67%). Conclusão Sugere-se que as mulheres tendem a escolher LARCs quando orientadas pelo seu médico ou por profissionais de saúde da APS e optam pelos LARCs pela facilidade do uso e baixa taxa de falhas. Destaca-se como os LARC's podem interferir positivamente em aspectos que perpassam a contracepção, como o IMC, libido e estado de humor.

Dressing to prevent surgical site infection in adult patients with cancer: a systematic review with meta-analysis.

PURPOSE: To identify the most effective dressing for application to surgical wounds with primary closure to prevent surgical site infection (SSI) in adult patients with cancer undergoing elective surgeries. METHODS: This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis, with online searches conducted in the CINHAL, Cochrane Central, LILACS, PubMed, Scopus, Embase, Livivo, and Web of Science databases. An additional search was conducted in gray literature using Google Scholar. The risk of bias was assessed using RoB 2.0. The certainty of evidence was evaluated using the Grading of Recommendations Assessment and Development and Evaluation, and the results were synthesized in a descriptive manner and using meta-analysis. RESULTS: Eleven randomized clinical trials were conducted to compare different types of dressing-silver dressing with absorbent dressing (n = 3), mupirocin dressing with paraffin/no dressing (n = 1), honey-based dressing with absorbent dressing (n = 1), vitamin E and silicone-containing dressing with absorbent dressing (n = 1), and negative pressure wound therapy with absorbent dressing (n = 4)-and compare the usage duration of absorbent dressing (n = 1). Nine trials presented a low risk of bias, and two were classified as having uncertain bias. Compared with absorbent dressing, silver dressing did not reduce the risk of developing any type of SSI in 894 clinical trial participants (risk relative RR: 0.72; 95% confidence interval [CI] [0.44, 1.17] p = 0.18). Compared with absorbent dressing, negative pressure wound therapy did not reduce the risk of developing any type of SSI in the 1041 participants of two clinical trials (RR 0.68; 95% CI [0.31, 1.26] p = 0.22). The certainty of evidence of the three meta-analyses was considered low or very low for the prevention of SSI. We believe that this low certainty of evidence can be improved by conducting new studies in the future. CONCLUSION: There is no evidence regarding which dressing is the most effective in preventing SSI in adult patients with cancer.

Experimental Investigation on the Mechanical and Physical Properties of Glass/Jute Hybrid Laminates.

Natural fibres have been partly substituting synthetic fibres in polymer composites due to their renewable character and many other advantages, and sometimes, they can be hybridized into a single composite for a better combination of properties. This work aims to study the effect of hybridization and stacking sequence on the mechanical and physical properties of the glass/jute laminates. For that, pure jute, pure glass and glass/jute hybrids were manufactured by vacuum infusion process using orthophthalic polyester resin. The composites were characterized via C-scan analysis, density, volume fraction of constituents and optical microscopy analyses. Mechanical properties were obtained from tensile, compression and shear tests. The longitudinal properties were higher than transverse properties for all laminates. The hybrids presented intermediate density and mechanical properties compared to pure glass and pure jute laminates. The hybrids produced similar density and tensile modulus, but with small differences in tensile strength and compressive strength which were justified based on variations in resin and void content due to the influence of the stacking sequence (glass/jute interlayer regions). In addition, the pure glass and the hybrid laminates displayed acceptable failure morphology in the in-plane shear test, but not the pure jute laminate.

Sistematização da assistência e processo de enfermagem na saúde da família: percepção de enfermeiros / Sistematización del cuidado y proceso de enfermería en la salud familiar: percepción de las enfermeras / Systematization of nursing care and nursing process in the family health: perception of nurses

Objetivo: descrever a percepção dos enfermeiros em relação à utilização da Sistematização da Assistência de Enfermagem na Estratégia de Saúde da Família no centro oeste mineiro. Método: pesquisa qualitativa com 20 enfermeiros. A coleta de dados ocorreu no período de abril a setembro de 2020 através de um roteiro com informações sociodemográfico-econômicas e questões norteadoras analisadas pela técnica de Análise de conteúdo. Resultados: identificaram-se barreiras na aplicação da Sistematização: sobrecarga de trabalho, demanda de muito tempo para aplicação, escassez de conhecimento teórico, dificuldade de distinguir os conceitos correlacionados e faltas de incentivo, de apoio da gestão e de pessoal. O prontuário eletrônico, a formação nas instituições de ensino e a capacitação da equipe foram apontados como facilitadores. Conclusão: os participantes consideram que a Sistematização e o Processo de Enfermagem sejam capazes de viabilizar a melhoria da assistência.(AU)

Objective: to describe the perception of nurses in relation to the use of the Systematization of Nursing Care in the Family Health Strategy in the center west of Minas Gerais. Method: qualitative research with 20 nurses. Data collection took place from April to September 2020 through a script with sociodemographic-economic information and guiding questions analyzed by the Content Analysis technique. Results: barriers were identified in the application of Systematization: work overload, demand for a long time for application, lack of theoretical knowledge, difficulty in distinguishing the correlated concepts and lack of incentive, support from management and personnel. Electronic medical records, training in educational institutions and staff training were identified as facilitators. Conclusion: the participants consider that the Systematization and the Nursing Process can enable the improvement of care.(AU)

Objetivo: describir la percepción de los enfermeros con relación al uso de la Sistematización de la Atención de Enfermería en la Estrategia de Salud de la Familia en el centro oeste de Minas Gerais. Método: investigación cualitativa con 20 enfermeros. La recolección de datos ocurrió de abril a septiembre de 2020 a través de informaciones sociodemográfico-económicas y preguntas orientadoras analizadas por la técnica de Análisis de Contenido. Resultados: se identificaron barreras en la aplicación de la Sistematización: sobrecarga de trabajo, demanda de mucho tiempo para la aplicación, falta de conocimiento teórico, dificultad para distinguir los conceptos correlacionados y falta de incentivo, apoyo de la dirección y del personal. Se identificaron como facilitadores la historia clínica electrónica, la capacitación en instituciones educativas y la capacitación del personal. Conclusión: los participantes consideran que la Sistematización y el Proceso de Enfermería son capaces de posibilitar la mejora del cuidado.(AU)

Interrater Reliability of an Observational Rating Scale and Video Analysis of Yoga Poses.

CONTEXT: Yoga is increasingly popular, not only as a form of recreational exercise but also as a physician-recommended intervention for health conditions. While serious adverse effects accompanying yoga practice are rare, poses that involve upper-extremity weight-bearing have a high risk of discomfort. To better understand factors contributing to adverse effects, there is a critical need for robust instruments that objectively evaluate pose performance. The purpose of this study was to assess the interrater reliability of an observational scale developed to assess the alignment of 3 yoga poses. DESIGN: Cross-sectional experimental study. METHODS: Thirty-eight individuals were given standardized instructions and performed 3 poses (Downward Dog, Plank, and Side Plank). Lateral videos were rated by 2 raters. A rating scale evaluating the alignment of 7 regions was developed by the study team with input from yoga teachers. Descriptive statistics were used to summarize the percentage of subjects showing ideal alignment and deviations. Interrater reliability was quantified using Cohen kappa coefficient (κ). RESULTS: In Downward Dog, the prevalence of ideal alignment was 20%, 28%, and 37%, at the neck, shoulder, and back, respectively; κ ranged from .44 to .69. In Plank, the prevalence of ideal alignment was 31%, 45%, and 54% at the neck, shoulder, and back, respectively; κ ranged from .47 to .95. In Side Plank, the prevalence of ideal alignment was 16, 41%, and 24%, at the neck, shoulder, and back, respectively; κ ranged from .20 to .84. CONCLUSION: The observational scale found a high prevalence of deviations, and demonstrated fair to substantial interrater agreement.

O esporte para o desenvolvimento e a paz nas revistas acadêmicas brasileiras: uma revisão de literatura integrativa / Sport for development and peace in brazilian academic journals: an integrative literature review / El deporte para el desarrollo y la paz en las revistas académicas brasileñas: una revisión de literatura integrativa

Neste artigo, realizamos uma revisão de literatura integrativa através de quatro bases de dados científicas de ampla utilização no meio acadêmico brasileiro, a partir dos descritores: "Esporte e Desenvolvimento Social", "Projeto Social Esportivo" e "Projetos Sociais Esportivos". Encontramos 341 artigos, os quais foram, posteriormente e de acordo com critérios de inclusão/exclusão, reduzidos a 57 trabalhos analisados. Apresentamos aqui resultados referentes às categorias "Campo de atuação", "Ano de publicação", "Revistas" e "Resultados da pesquisa". A metodologia seguiu os passos sugeridos por Whittemore e Knafl (2005): (a) identificação do problema, (b) pesquisa da literatura, (c) avaliação dos dados, (d) análise dos dados e (e) apresentação. Os resultados de nossa pesquisa lidam com variações que consideramos significativas no contexto das categorias eleitas e sugerem interpretações para tais variações. Além disso, por fim, refletimos acerca dos limites de nossa pesquisa e das implicações deste trabalho para investigações futuras. (AU)

In this article, we carry out an integrative literature review in four databases widely used in the Brazilian academic environment, using the descriptors: "Sport and Social Development", "Sport Social Project" and "Sports Social Projects". We found 341 articles, which were, later and according to inclusion/exclusion criteria, reduced to 60 works to be analyzed. Here we present results referring to the categories "Field of action", "Year of publication", "Journals" and "Research results". The methodology followed the steps suggested by Whittemore and Knafl (2005): (a) problem identification, (b) literature search, (c) data evaluation, (d) data analysis and (e) presentation. The results of our research deal with variations that we considered significant in the context of the categories chosen and suggest interpretations for such variations. In addition, finally, we reflect on the limits of our research and the implications of this work for future research. (AU)

En este artículo, realizamos una revisión de literatura integrativa en cuatro bases de datos ampliamente utilizadas en el medio académico brasileño, a partir de los siguientes descriptores: "Deporte y Desarrollo Social", "Proyecto Social Deportivo" y "Proyectos Sociales Deportivos". Encontramos 341 artículos, los cuales fueron, posteriormente y de acuerdo con criterios de inclusión/exclusión, reducidos a 57 trabajos analizados. Presentamos aquí resultados referentes a las categorías "Campo de actuación", "Año de publicación", "Revistas" y "Resultados de la investigación". La metodología siguió los pasos sugeridos por Whittemore y Knafl (2005): (a) identificación del problema, (b) investigación de la literatura, (c) evaluación de los datos, (d) análisis de los datos y (e) presentación. Los resultados de nuestra investigación trabajan con variaciones que consideramos significativas en el contexto de las categorías elegidas y sugieren interpretaciones para tales variaciones. Además, reflexionamos acerca de los límites de nuestra investigación y de las implicaciones de este trabajo para las futuras investigaciones. (AU)

Questões de gênero na educação física escolar: uma análise nas zonas distritais de Rio Grande-RS / Gender issues in school physical education: an analysis in the district zones of Rio Grande-RS / Cuesstones de gênero en la educación física escolar: un análisis en las zonas de distrito de Rio Grande-RS

Resumo: Temos por objetivo, neste trabalho, analisar como as questões de gênero são tratadas nas aulas de Educação Física (EF) da rede municipal de ensino da cidade de Rio Grande ­ RS, além de identificar o posicionamento dos professores e professoras sobre a temática gênero ser trabalhada nas aulas de EF. Para tanto, realizamos uma pesquisa qualitativa de cunho exploratório/descritivo. Percebemos que a escola ainda é um espaço que segrega e diferencia, visto que os estereótipos, as opressões, divisões e diferenciações entre os gêneros estão presentes. Constatamos os pró-discussão e os contra discussão, dois grupos distintos que se formaram quando os professores e as professoras ponderaram sobre a temática gênero ser tratada nas aulas de EF (AU).

In this work we aim to analyze how gender issues are dealt with in Physical Education (PE) classes at the municipal education network in the city of Rio Grande - RS, in addition to identifying the position of male and female teachers on the theme of gender being worked on in PE classes. To this end, we conducted a qualitative research of an exploratory / descriptive nature. We realize that the school is still a space that segregates and differentiates, since stereotypes, oppressions, divisions and differentiations between genders are present there. We found pro-discussion and counter-discussion, two distinct groups that were formed when teachers pondered the gender theme to be addressed in PE classes (AU).

En este trabajo pretendemos analizar cómo se abordan las cuestiones de género en las clases de Educación Física (EF) de la red educativa municipal de la ciudad de Rio Grande - RS, además de identificar la posición de docentes y maestras en la temática de género que se trabaja en las clases de EF. Para ello, realizamos una investigación cualitativa de carácter exploratorio / descriptivo. Nos damos cuenta de que la escuela sigue siendo un espacio que segrega y diferencia, ya que allí están presentes estereotipos, opresiones, divisiones y diferenciaciones entre géneros. Encontramos pro-discusión y contra-discusión, dos grupos distintos que se formaron cuando los docentes reflexionaron sobre el tema de género a ser abordado en las clases de EF (AU).

[Ways of governing street life during the pandemic: discourses, technologies, and practices]. / Formas de gobernar la vida en la calle durante la pandemia: discursos, tecnologías y prácticas.

Drawing on multiple sources, this article presents an analysis of a national survey implemented by Street Clinic teams in Brazil on the homeless population and the COVID-19 pandemic. Through the lens of certain ethical-political principles and methodological decisions, we focus our analysis on discourses about who lives and works on the streets during the pandemic, connecting discourse with experience. From the perspective of governmentality and biopolitics, we seek to shed light on power relations that reveal modes of government embodied at the street level - mainly related to isolation measures and social distancing - to create tensions surrounding the emergence of the notion of the homeless population in the midst of the pandemic. We conclude with a discussion of the precariousness that circumscribes life on the streets as a shared condition, and search for ways to comprehend forms of resistance and the right to exist.

El artículo presenta un análisis basado en diversas fuentes de una encuesta nacional realizada con el equipo de Consultorios en la Calle en Brasil sobre la población en situación de calle y la pandemia de Covid-19. A través de ciertos principios ético-políticos y apuestas metodológicas, dirigimos nuestra mirada al discurso sobre quién vive y trabaja en las calles durante la pandemia, entrecruzando el discurso y la experiencia. De esta manera, buscamos desvelar las relaciones de poder, desde la perspectiva de la gubernamentalidad y la biopolítica, que permiten mostrar los modos de gobierno encarnados en la calle ­principalmente a partir de las medidas de aislamiento y distanciamiento social­ para tensionar el surgimiento de la noción de población en situación de calle, en este escenario pandémico. Por último, discutimos nociones de precariedad que circunscriben la vida en la calle como condición compartida, en busca de pistas sobre formas de resistencia y el derecho a aparecer.

A escola tem que discutir; a família que deve orientar: as escolas rio-grandinas e as questões de gênero / The school has to argue; the family to guide: rio-grandinas schools and gender issues / La escuela tiene que discutir; la familia para guiar: las escuelas de rio-grandinas y las cuestiones de género

O presente estudo se propôs a averiguar o tratamento dado a temática gênero em escolas da cidade de Rio Grande ­ RS, assim como, identificar o posicionamento dos professores e professoras sobre a temática gênero ser trabalhada nessas instituições. Os sujeitos participantes dessa pesquisa foram professores e professoras de Educação Física e alunos e alunas do 9° ano do ensino fundamental, os quais contribuiram, respectivamente, através dos seguintes instrumentos de coleta: entrevista semiestruturada e questionário. Percebemos que a instituição escola não é um campo neutro, pois ela ainda é um espaço que internaliza os preceitos que estruturam a sociedade, reforçando binarismos. Identificamos que às questões que envolvem gênero não são uma temática muito recorrente nas escolas investigadas, sendo que os professores e as professoras têm distintas percepções sobre essa ser tratada nas escolas e nas aulas de Educação Física, resultando em dois grupos: os pró-discussão e os contra discussão.

This study aimed to investigate the treatment given to gender in schools in the city of Rio Grande - RS, as well as to identify the position of male and female teachers on the subject of gender to be worked on in these institutions. The subjects participating in this research were Physical Education teachers and students and 9th grade students, who contributed, respectively, through the following collection instruments: semi-structured interview and questionnaire. We realize that the school institution is not a neutral field, as it is still a space that internalizes the precepts that structure society, reinforcing binarisms. We identified that gender issues are not a very recurring theme in the investigated schools, and teachers have different perceptions about this being treated in schools and in Physical Education classes, resulting in two groups: the pro-discussion and counter-discussion.

Este estudio tuvo como objetivo investigar el tratamiento que se le da al género en las escuelas de la ciudad de Rio Grande - RS, así como identificar la posición de docentes y maestras en la temática de género a trabajar en estas instituciones. Los sujetos que participaron en esta investigación fueron profesores y alumnos de Educación Física y alumnos de 9º grado, quienes contribuyeron, respectivamente, a través de los siguientes instrumentos de recolección: entrevista semiestructurada y cuestionario. Nos damos cuenta de que la institución escolar no es un campo neutral, ya que sigue siendo un espacio que interioriza los preceptos que estructuran la sociedad, reforzando los binarismos. Identificamos que la problemática de género no es un tema muy recurrente en las escuelas investigadas, y los docentes tienen diferentes percepciones sobre esto siendo abordado en las escuelas y en las clases de Educación Física, resultando en dos grupos: el pro-discusión y contra-discusión.

QUESTÕES DE GÊNERO NA EDUCAÇÃO FÍSICA ESCOLAR: uma análise nas zonas distritais de Rio Grande-RS / GENDER ISSUES IN SCHOOL PHYSICAL EDUCATION: an analysis in the district zones of Rio Grande-RS / CUESTIONES DE GÉNERO EN LA EDUCACIÓN FÍSICA escolar: un análisis en las zonas de distrito de Rio Grande-RS

Temos por objetivo, neste trabalho, analisar como as questões de gênero são tratadas nas aulas de Educação Física (EF) da rede mu-nicipal de ensino da cidade de Rio Grande ­ RS, além de identificar o posicionamento dos professores e professoras sobre a temática gêne-ro ser trabalhada nas aulas de EF. Para tanto, realizamos uma pesquisa qualitativa de cunho exploratório/descritivo. Percebemos que a escola ainda é um espaço que segrega e diferencia, visto que os estereótipos, as opressões, divisões e diferenciações entre os gêneros estão presen-tes. Constatamos os pró-discussão e os contra discussão, dois grupos distintos que se formaram quando os professores e as professoras pon-deraram sobre a temática gênero ser tratada nas aulas de EF

In this work we aim to analyze how gender issues are dealt with in Physical Education (PE) classes at the municipal education network in the city of Rio Grande - RS, in addition to identifying the position of male and female teachers on the theme of gender being worked on in PE classes. To this end, we conducted a qualitative research of an exploratory / descriptive nature. We realize that the school is still a space that segregates and differentiates, since stereotypes, oppressions, divisions and differentiations between genders are present there. We found pro-discussion and counter-discussion, two distinct groups that were formed when teachers pondered the gender theme to be addressed in PE classes.

En este trabajo pretendemos analizar cómo se abordan las cuestiones de género en las clases de Educación Física (EF) de la red educativa municipal de la ciudad de Rio Grande - RS, además de identificar la posición de docentes y maestras en la temática de género que se trabaja en las clases de EF. Para ello, realizamos una investigación cualitativa de carácter exploratorio / descriptivo. Nos damos cuenta de que la escuela sigue siendo un espacio que segrega y diferencia, ya que allí están presentes estereotipos, opresiones, divisiones y diferenciaciones entre géneros. Encontramos pro-discusión y contra-discusión, dos grupos distintos que se formaron cuando los docentes reflexionaron sobre el tema de género a ser abordado en las clases de EF.

Curativo na ferida operatória para prevenção da infecção de sítio cirúrgico em pacientes adultos oncológicos: revisão sistemática / Surgical wound dressing to prevent surgical site infection in adult oncological patients: a systematic review

Introdução: O manejo da ferida operatória limpa no pós-operatório é uma importante intervenção para prevenção da infecção do sítio cirúrgico. O uso de curativo estéril na ferida operatória, aproximada por primeira intenção, deve ser utilizado de forma asséptica e tem como principal objetivo impedir a contaminação por microrganismo. No entanto, para as diretrizes clínicas para prevenção de infecção do sítio cirúrgico, não existe consenso sobre a escolha do curativo ideal. Objetivo: Sintetizar as evidências sobre o curativo efetivo para prevenção da infecção de sítio cirúrgico aplicado na ferida operatória, aproximada por primeira intenção, em pacientes oncológicos adultos submetidos a cirurgia eletiva. Materiais e Método: Trata-se de uma revisão sistemática pautada no Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), registrada sob o número CRD42020156908, constituída das etapas: 1) Elaboração e registro do protocolo da revisão; 2) Delimitação da pergunta da revisão; 3) Definição dos critérios de elegibilidade; 4) Busca e seleção dos estudos; 5) Coleta de dados; e 6) Síntese e apresentação dos resultados da revisão sistemática. A estratégia de busca foi realizada nas bases de dados: Cochrane Central, Cinahl, Embase, Lilacs, Livivo, PubMed, Scopus e Web of Science. A estratégia de busca foi fundamentada no objetivo da revisão e adaptada para cada base de dados consultada. Utilizaram-se descritores controlados e palavras-chave, a saber: Neoplasms AND Bandages AND Surgical Wound Infection AND prevention and control. A literatura cinzenta consultada foi o Google Acadêmico e a ProQuest Dissertations and Theses Database. As etapas foram realizadas de forma independente e mascarada por dois revisores, e um terceiro para resolução de conflitos. Ao término da seleção dos estudos primários, realizou-se a busca manual nas listas de referências dos estudos primários incluídos. Resultados: A amostra compôs-se de sete ensaios clínicos aleatorizados. Os curativos absorventes foram comparados em cinco estudos incluídos. A mupirocina foi avaliada em dois estudos. Os curativos com prata foram avaliados em três estudos. O mel, a parafina, o tempo de retirada do curativo e a terapia por pressão negativa aparecem em um único ensaio cada. Em relação ao risco de viés, foram avaliados os sete estudos incluídos pela ferramenta da Cochrane Risk of Bias (RoB 2), sendo seis de baixo risco e um estudo avaliado como risco incerto. A metanálise foi realizada com três ensaios que testaram curativo de prata versus o curativo absorvente, não demonstrando diferenças estatisticamente significantes (p= 0.77) na prevenção da infecção do sítio cirúrgico. O Intervalo de Confiança (IC) do diamante metanalítico varia de 0,41 a 1,06, assim não demonstra diferença estatisticamente significante na efetividade entre os tipos de curativo. A certeza da evidência foi avaliada pelo sistema GRADE e foi considerada forte em todos os domínios. Conclusões: A ausência de padronização em relação ao tipo e tempo de curativo utilizados nos estudos pode ser um dificultador para as recomendações do curativo ideal. E apesar dos resultados promissores com curativo impregnado com prata, ainda não é possível concluir qual é o curativo mais efetivo aplicado na ferida operatória, para prevenção de infecção de sítio cirúrgico, com fechamento primário, em pacientes oncológicos adultos submetidos a cirurgia eletiva

Introduction: The management of clean surgical wounds in the postoperative period is an important intervention to prevent surgical site infections. The use of sterile dressings in operative wounds, held together by primary intention, should be used aseptically, with the main objective of preventing microbiological contamination. However, clinical guidelines for the prevention of surgical site infection do not provide a consensus about the choice of the optimal dressing. Objective: The aim of this review was to summarize the existing evidence about effective surgical site dressings for the prevention of operative wound infections, held together by primary intention in adult oncological patients submitted to elective surgery. Materials and Method: This was a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), registered under number CRD42020156908. It was developed according to the following phases: 1) preparing and registering the review protocol; 2) defining the review question; 3) defining the eligibility criteria; 4) searching and selecting the studies; 5) data collection; and 6) summarizing and presenting the results of the systematic review. The search strategy was carried out in the following databases: Cochrane Central, Cinahl, Embase, Lilacs, Livivo, PubMed, Scopus, and Web of Science. The search strategy was based on the objective of the review and adapted for each of the consulted databases. Controlled descriptors and keywords were used, namely: Neoplasms AND Bandages AND Surgical Wound Infection AND prevention and control. The grey literature consulted was Google Scholar, ProQuest Dissertations and Theses Database. The stages were carried out independently and blindly by two reviewers, while a third reviewer was used to settle any conflicts. After selecting the primary studies, the researchers manually searched the reference lists of the included primary studies. Results: The sample consisted of seven randomized clinical trials. Absorbent dressings were compared in five included studies. Mupirocin was evaluated in two studies. Silver dressings were evaluated in three studies. Honey, paraffin, dressing removal time, and negative pressure therapy all appeared in a single trial each. Regarding the risk of bias, the seven studies were assessed using the Cochrane Risk of Bias tool (RoB 2); six presented a low risk of bias and one study presented uncertain risk. The meta-analysis was performed with three trials that tested silver dressings versus absorbent dressings, with no statistically significant differences (p= 0.77) in the prevention of surgical site infection. The confidence interval (CI) of the diamond ratio varied between 0.41 and 1.06, thus it did not demonstrate a statistically significant difference in effectiveness between the types of dressing. Certainty of the evidence was evaluated using the GRADE system, which considered it strong in all categories. Conclusions: The lack of standardization regarding the type and duration of dressing used in the studies can make it difficult to recommend the ideal dressing. And despite the promising results with dressings impregnated with silver, it is still not possible to conclude which is the most effective dressing applied to the surgical wound, to prevent surgical site infection, with primary closure, in adult cancer patients undergoing elective surgery

Formas de gobernar la vida en la calle durante la pandemia: discursos, tecnologías y prácticas / Ways of governing street life during the pandemic: discourses, technologies, and practices

RESUMEN El artículo presenta un análisis basado en diversas fuentes de una encuesta nacional realizada con el equipo de Consultorios en la Calle en Brasil sobre la población en situación de calle y la pandemia de Covid-19. A través de ciertos principios ético-políticos y apuestas metodológicas, dirigimos nuestra mirada al discurso sobre quién vive y trabaja en las calles durante la pandemia, entrecruzando el discurso y la experiencia. De esta manera, buscamos desvelar las relaciones de poder, desde la perspectiva de la gubernamentalidad y la biopolítica, que permiten mostrar los modos de gobierno encarnados en la calle -principalmente a partir de las medidas de aislamiento y distanciamiento social- para tensionar el surgimiento de la noción de población en situación de calle, en este escenario pandémico. Por último, discutimos nociones de precariedad que circunscriben la vida en la calle como condición compartida, en busca de pistas sobre formas de resistencia y el derecho a aparecer.

ABSTRACT Drawing on multiple sources, this article presents an analysis of a national survey implemented by Street Clinic teams in Brazil on the homeless population and the COVID-19 pandemic. Through the lens of certain ethical-political principles and methodological decisions, we focus our analysis on discourses about who lives and works on the streets during the pandemic, connecting discourse with experience. From the perspective of governmentality and biopolitics, we seek to shed light on power relations that reveal modes of government embodied at the street level - mainly related to isolation measures and social distancing - to create tensions surrounding the emergence of the notion of the homeless population in the midst of the pandemic. We conclude with a discussion of the precariousness that circumscribes life on the streets as a shared condition, and search for ways to comprehend forms of resistance and the right to exist.

At-risk drinking and current cannabis use among medical students: a multivariable analysis of the role of personality traits

Objective: To explore the role of personality traits in at-risk drinking and current cannabis use among medical students. Methods: This cross-sectional study evaluated 707 medical students from two universities. Multiple logistic regression models for at-risk drinking and current cannabis use were constructed including sociodemographic, psychiatric, and personality variables. Results: At-risk drinking and current cannabis use were reported by 19.3% and 14.9% of participants, respectively. Models including Big Five measures showed associations of at-risk drinking with higher extraversion (p < 0.00001, adjusted odds ratio [AOR] = 1.9) and lower conscientiousness (p = 0.00001, AOR = 0.5); cannabis use was also associated with lower conscientiousness (p = 0.003, AOR = 0.6), besides higher openness to experience (p = 0.002, AOR = 1.9). Models including measures of the Behavioral Inhibition and Activation Systems scales (BIS/BAS) showed associations of at-risk drinking with lower BIS (p = 0.002, AOR = 0.9) and higher BAS fun-seeking (p = 0.0005, AOR = 1.2); cannabis use was also associated with higher BAS fun-seeking (p = 0.008, AOR = 1.2). Personality variables had modest effects on model fit. Conclusion: Specific personality traits were independently associated with at-risk drinking and current cannabis use, albeit with modest effect sizes.

At-risk drinking and current cannabis use among medical students: a multivariable analysis of the role of personality traits.

OBJECTIVE: To explore the role of personality traits in at-risk drinking and current cannabis use among medical students. METHODS: This cross-sectional study evaluated 707 medical students from two universities. Multiple logistic regression models for at-risk drinking and current cannabis use were constructed including sociodemographic, psychiatric, and personality variables. RESULTS: At-risk drinking and current cannabis use were reported by 19.3% and 14.9% of participants, respectively. Models including Big Five measures showed associations of at-risk drinking with higher extraversion (p < 0.00001, adjusted odds ratio [AOR] = 1.9) and lower conscientiousness (p = 0.00001, AOR = 0.5); cannabis use was also associated with lower conscientiousness (p = 0.003, AOR = 0.6), besides higher openness to experience (p = 0.002, AOR = 1.9). Models including measures of the Behavioral Inhibition and Activation Systems scales (BIS/BAS) showed associations of at-risk drinking with lower BIS (p = 0.002, AOR = 0.9) and higher BAS fun-seeking (p = 0.0005, AOR = 1.2); cannabis use was also associated with higher BAS fun-seeking (p = 0.008, AOR = 1.2). Personality variables had modest effects on model fit. CONCLUSION: Specific personality traits were independently associated with at-risk drinking and current cannabis use, albeit with modest effect sizes.

Ideação suicida e tentativa de suicídio entre pessoas em tratamento psiquiátrico / Suicidal ideation and suicide attempt among people in psychiatric treatment / Ideación suicida e intento de suicidio entre personas en tratamiento psiquiátrico

Este estudo investigou a relação entre ideação suicida, tentativa de suicídio e características psicossociais e psiquiátricas de pacientes com transtornos psiquiátricos. Realizado estudo quantitativo por meio da análise documental de prontuários de um centro de atenção psicossocial de uma cidade do interior do Sudeste do Brasil. Entre os 410 prontuários analisados, foi encontrado 24,4% com registro de ideação suicida e 22,9% com tentativa de suicídio. Entre os pacientes com ideação suicida e tentativa de suicídio, verifica-se que a maioria são homens, adultos, sem vínculo matrimonial, com baixa escolaridade, inatividade laboral e apresentam os transtornos do humor como diagnóstico principal e comorbidade psiquiátrica de maior frequência. Identificou-se associação de ideação suicida e tentativa de suicídio com comorbidade psiquiátrica e tentativa de suicídio com história de experiência traumática. Importante realizar avaliação do risco dos pacientes com história de comportamento suicida para melhor manejo e prevenção do suicídio.

This study investigated the relationship between suicidal ideation, suicide attempt and psychosocial and psychiatric characteristics of patients with psychiatric disorders. A quantitative study was carried out based on the documentary analysis of records at a psychosocial care center of a town in the southeast of Brazil. Among the 410 medical records analyzed, 24.4% were found to have suicidal ideation and 22.9% referred to suicide attempts. Among the patients with suicidal ideation and suicide attempt, it is verified that the majority are men, adults, without marital bond, with low educational level, work inactivity, and present mood disorders as the main diagnosis and psychiatric comorbidity of higher frequency. It was identified association of suicidal ideation and suicide attempt with psychiatric comorbidity and suicide attempt with history of traumatic experience. Important perform risk assessment of patients with a history of suicidal behavior to better management and suicide prevention.

Este estudio investigó la relación entre ideación suicida, intento de suicidio y las características psicosociales y psiquiátricas de los pacientes con trastornos psiquiátricos. Estudio cuantitativo realizado por análisis documental de los expedientes de un centro de atención psicosocial de una ciudad en el sureste de Brasil. Entre los 410 registros de pacientes analizados se encontró 24,4% con registro de ideación suicida y 22,9% con intento de suicidio. Entre los pacientes con ideación suicida e intento de suicidio, se encontró que la mayoría son hombres, adultos, sin vínculo matrimonial, con bajo nivel de educación, inactividad laboral, y tienen los trastornos del ánimo como el diagnóstico primario y comorbilidad psiquiátrica más frecuente. Se identificó asociación de ideación suicida e intento de suicidio con comorbilidad psiquiátrica e intento de suicidio con historia de experiencia traumática. Importante realizar la evaluación del riesgo de los pacientes con antecedentes de comportamiento suicida para una mejor gestión y prevención del suicidio.